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Search › Illinois › Medical Physician Assistant

Edwaed Fowler, PAC

NPI 1508987355 · on the registry since 2007 · sole proprietor

Practice

Address
1901 W Harrison St
Chicago, IL 60612
Phone
(773) 869-7488
Organisation at this address
Cook County
Cook County
Cook County
Cook County
Cook County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
877

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois